Ultrasound assessment of medial crural cutaneous nerve and infrapatellar branch and of the saphenous nerve: establishing a safety zone for preventing nerve injury in knee surgery and injections.
Purpose: Our study aimed to illustrate the positional relationship of the two branches of the saphenous nerve: the infrapatellar branch of the saphenous nerve (IPBSN) and medial crural cutaneous nerve (MCCN), as well as the anatomical landmarks using high-resolution ultrasound (HRUS) to help prevent...
| Publicado en: | Surgical & Radiologic Anatomy Vol. 45; no. 12; pp. 1619 - 1628 |
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| Autores principales: | , , |
| Formato: | Journal Article |
| Publicado: |
Springer Nature
Dec2023
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=173431898&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 173431898 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09301038 O1L jtl: Surgical & Radiologic Anatomy issn: 09301038 maglogo: N pubinfo: dt: Dec2023 vid: 45 iid: 12 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 173431898 172771259 10.1007/s00276-023-03246-0 173431898 ppf: 1619 ppct: 9 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Ultrasound assessment of medial crural cutaneous nerve and infrapatellar branch and of the saphenous nerve: establishing a safety zone for preventing nerve injury in knee surgery and injections. aug: au: Kim, Byungjun Kang, Kyung Hun Yoon, Joon Shik affil: Department of Physical Medicine and Rehabilitation, Korea University Guro Hospital, University College of Medicine, 148, Gurodong-ro, Guro-gu, 08308, Seoul, Korea sug: ab: Purpose: Our study aimed to illustrate the positional relationship of the two branches of the saphenous nerve: the infrapatellar branch of the saphenous nerve (IPBSN) and medial crural cutaneous nerve (MCCN), as well as the anatomical landmarks using high-resolution ultrasound (HRUS) to help prevent iatrogenic nerve injury. Methods: We used HRUS to explore the positional relationships among the anatomical landmarks, IPBSN, and MCCN in 40 knees of 20 participants. The distances from these branches to key reference points were recorded. Using the ultrasound caliper mode, we measured the depth from the skin surface to the nerves at four distinct points. Results: The average distances between IPBSN and medial border of patella (MBP) and IPBSN and medial border of patellar ligament (MBPL) were 47 ± 7 mm and 42 ± 9 mm, respectively. MCCN showed mean distances of 94 ± 9 mm and 96 ± 9 mm to MBP and MBPL, respectively. The mean distance from the upper edge of pes anserine to IPBSN at the patellar apex (PA) level was 24 ± 10 mm and to MCCN was 34 ± 9 mm. Conclusion: We used high-resolution ultrasound to evaluate IPBSN and MCCN and their positions relative to anatomical landmarks. The study results offer valuable insights into the course of these nerves, which can help establish a safety zone to prevent accidental nerve injuries during knee surgeries and injections. pubtype: Academic Journal doctype: Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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